Auricular Point Acupressure to Manage Chronic Low Back Pain in Older Adults: A Randomized Controlled Pilot Study
Auricular Point Acupressure to Manage Chronic Low Back Pain in Older Adults: A Randomized Controlled Pilot Study
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耳穴按摩治疗老年人慢性腰痛：一项随机对照试点研究
DOI：
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发表时间：
2014
影响因子：
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通讯作者：
L. Suen
中科院分区：
文献类型：
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作者：
C. Yeh;Natalia E. Morone;L. Chien;Yuling Cao;Huijuan Lu;Juan Shen;L. Margolis;Shreya Bhatnagar;Samuel Hoffman;Zhan Liang;R. Glick;L. Suen
这项前瞻性随机临床试验（RCT）初步研究旨在（1）评估易于管理的耳穴穴位按压（阿帕）干预的可行性和耐受性，以及（2）提供与假治疗相比的效应大小的初步评估。37名受试者随机接受真实的或假阿帕治疗。所有参与者每周治疗一次，持续4周。在基线、治疗期间每周、干预结束（EOI）和1个月随访时获得自我报告测量结果。观察到真实的阿帕组的脱落率为26%，假手术组为50%。从基线到EOI，真实的和假手术组的最严重疼痛减少分别为41%和5%，Cohen效应量为1.22（P < 0.00）。罗兰莫里斯残疾问卷（RMDQ）的残疾评分在真实的组下降了29%，而在假手术组没有变化（+3%）（P < 0.00）。鉴于高脱落率，结果必须谨慎解释，然而，我们的研究结果表明，阿帕可能提供一个廉价和有效的补充方法，为管理背痛的老年人，进一步的研究是必要的。
This prospective, randomized clinical trial (RCT) pilot study was designed to (1) assess the feasibility and tolerability of an easily administered, auricular point acupressure (APA) intervention and (2) provide an initial assessment of effect size as compared to a sham treatment. Thirty-seven subjects were randomized to receive either the real or sham APA treatment. All participants were treated once a week for 4 weeks. Self-report measures were obtained at baseline, weekly during treatment, at end-of-intervention (EOI), and at a 1-month follow-up. A dropout rate of 26% in the real APA group and 50% in the sham group was observed. The reduction in worst pain from baseline to EOI was 41% for the real and 5% for the sham group with a Cohen's effect size of 1.22 (P < 0.00). Disability scores on the Roland Morris Disability Questionnaire (RMDQ) decreased in the real group by 29% and were unchanged in the sham group (+3%) (P < 0.00). Given the high dropout rate, results must be interpreted with caution; nevertheless, our results suggest that APA may provide an inexpensive and effective complementary approach for the management of back pain in older adults, and further study is warranted.
影响因子：
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作者：
Vickers, Andrew J.;Cronin, Angel M.;Maschino, Alexandra C.;Lewith, George;MacPherson, Hugh;Foster, Nadine E.;Sherman, Karen J.;Witt, Claudia M.;Linde, Klaus
通讯作者：
Linde, Klaus
影响因子：
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作者：
Freburger, Janet K.;Holmes, George M.;Agans, Robert P.;Jackman, Anne M.;Darter, Jane D.;Wallace, Andrea S.;Castel, Liana D.;Kalsbeek, William D.;Carey, Timothy S.
通讯作者：
Carey, Timothy S.